Evidence map›Paper›PMID 19188457›Full record

ArticleQuality & safety in health care2009

National quality improvement policies and strategies in European healthcare systems.

E Spencer, K Walshe

Open access · hybridAbstract read
In one paragraph

Article in Quality & safety in health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
15.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Sustaining perioperative patient safety improvement: the relevance of patient safety policies and contextual factors in European healthcare systems.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
    Article
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  12. Development and evaluation of a quality improvement framework for healthcare.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2020
    Article
  13. Article
  14. Quality improvement in pediatric nephrology-a practical guide.Pediatric nephrology (Berlin, Germany) · 2020
    Review
  15. Observational
  16. Defining What is Good: Pluralism and Healthcare Quality.Kennedy Institute of Ethics journal · 2019
    Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

E SpencerHerbert Simon Institute for Public Policy and Management, Manchester Business School, Manchester, UK.
K Walshe

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis survey provides an overview of the development of policies and strategies for quality improvement in European healthcare systems, by mapping quality improvement policies and strategies, progress in their implementation, and early indications of their impact. STUDY

designA survey of quality improvement policies and strategies in healthcare systems of the European Union was conducted in 2005 for the first phase of the Methods of Assessing Response to Quality Improvement Strategies (MARQuIS) project.

participantsThe survey, completed by 68 key experts in quality improvement from 24 European Union member states, represents their views and accounts of quality improvement policies and strategies in their healthcare systems. PRINCIPAL

findingsThere are substantial international and intra-national variations in the development of healthcare quality improvement. Legal requirements for quality improvement strategies are an important driver of progress, along with the activities of national governments and professional associations and societies. Patient and service user organisations appear to have less influence on quality improvement. Wide variation in voluntary and mandatory coverage of quality improvement policies and strategies across sectors can potentially lead to varying levels of progress in implementation. Many healthcare organisations lack basic infrastructure for quality improvement.

conclusionsSome convergence can be observed in policies on quality improvement in healthcare. Nevertheless, the growth of patient mobility across borders, along with the implications of free market provisions for the organisation and funding of healthcare systems in European Union member states, require policies for cooperation and learning transfer.

Indexed as

Health PolicyQuality Assurance, Health CareBenchmarkingDelivery of Health CareEuropeHealth Care SurveysHumansPolicy MakingSurveys and Questionnaires

Identifiers

PMID19188457
PMCPMC2629881
OpenAlexW2100631512

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.